Blue Cross and Blue Shield Association logo

Business Consultant - Cost of Care (Remote)

Blue Cross and Blue Shield Association
  • DC
  • Remote
  • $88,848–$176,462 Per Year
6 days ago

Job Description

Resp & Qualifications

PURPOSE:

The Business Consultant provides expertise in tailored, strategic, and critical work to help design, launch, and execute programs that support initiatives in the changing healthcare environment. The Cost of Care Business Analyst will primarily support affordability initiatives within the Provider Network as well as support additional levers and projects when needed. This role will work with internal and external stakeholders, utilize data/analytics for insights on medical expense savings opportunities, and help facilitate operational changes to implement CoC initiatives to meet financial targets. This role will work with internal and external stakeholders, utilize data/analytics for insights on medical expense savings opportunities, and help facilitate operational changes to implement CoC initiatives to meet financial targets.

We are looking for an experienced professional to live and work remotely from within the greater Baltimore/Washington metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities.

ESSENTIAL FUNCTIONS:

  • Provide subject matter expertise in a particular area (including but not limited to one of the following: project management, finance and budget, human resources, data and metrics, information technology, etc.) that contributes to the effective accomplishment of initiatives tasks and goals. Collaborate on the business strategy, thesis, programs and the identification of strategic opportunities. Support cross-functional teams and projects between division, and others to deliver value to team. Proactively identify ways, means, and platforms to build synergy and mutually reinforcing workstreams to accomplish tasks more effectively across different business functions of initiatives.
  • Design and run dashboards to support clear communication across vertical components of business. Review and support task coordination while identifying potential process improvements. Develop and finalize budgets, policies, and other documentation for programs.
  • Build trusted relationships within CareFirst to deepen subject-matter expertise, find opportunities to synchronize with core operations, and ensure close coordination with the central team in the execution of their areas of responsibility within the division. Identifying opportunities for synergies to improve task execution across the organization. Working collaboratively with other support partners in our current and upcoming programs. Communicating strategy, programs, and next steps to leadership and our partners.

QUALIFICATIONS:

Education Level: Bachelor''s Degree OR in lieu of a Bachelor''s degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Experience: 5 years experience in business development, operational technology support, general business operations and/or consulting experience.

Knowledge, Skills and Abilities (KSAs)

  • Understands business goals and priorities,
  • Follows evolving market, industry and consumer trends.
  • Effective communication of complex ideas both verbal and written.
  • Exceptional project management, facilitation and organizational skills.
  • Excellent relationship management skills.
  • Strategic thinker, problem solver, and a collaborator who can drive engagement and discussions.
  • Significant experience with MS Office (Excel, PowerPoint, Word).
  • Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

Salary Range: $88,848 - $176,462

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate''s work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case''s facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand

Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

#LI-NH2

Numbers & Facts

LocationDC (
Remote
)
IndustryInsurance
Salary$88,848–$176,462 Per Year
Company Size2,000 to 2,499 employees
Websitehttps://www.bcbs.com/about-us/careers

About Company

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Skills

  • Budget Managementunmatched
  • Budgetingunmatched
  • Business Analysisunmatched
  • Business Developmentunmatched
  • Business Operationsunmatched
  • Business Strategyunmatched
  • Communication Skillsunmatched
  • Consultingunmatched
  • Corporate Policiesunmatched
  • Cross-Functionalunmatched
  • Customer Support/Serviceunmatched
  • Data Analysisunmatched
  • Documentationunmatched
  • Equal Employment Opportunity (EEO)unmatched
  • Financeunmatched
  • Geneticsunmatched
  • Healthcareunmatched
  • Human Resourcesunmatched
  • Industry/Trade Analysisunmatched
  • Information Technology & Information Systemsunmatched
  • Leadershipunmatched
  • Market Trend Analysisunmatched
  • Metricsunmatched
  • Microsoft Excelunmatched
  • Microsoft Officeunmatched
  • Microsoft PowerPointunmatched
  • Microsoft Wordunmatched
  • Operational Supportunmatched
  • Organizational Skillsunmatched
  • Physical Demandsunmatched
  • Problem Solving Skillsunmatched
  • Process Developmentunmatched
  • Process Improvementunmatched
  • Project/Program Managementunmatched
  • Relationship Managementunmatched
  • Reporting Dashboardsunmatched
  • Sales Managementunmatched
  • Strategic Planningunmatched
  • Technical Supportunmatched
  • Time Managementunmatched
  • Work From Homeunmatched

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